Question:

Dear Pharmacist,

I found a lot of pills for constipation at pharmacies. Can you tell me which one is better in term of their effectiveness if compared to various group?

Answer:

Thank you for contacting NetWellness. There are over 700 products on the market used for constipation. Using lifestyle modification is always the initial step in treating constipation. If this fails, laxatives should then be tried.

The first important step for treating constipation is to provide more fiber in the form of supplements or diet. This usually increases bowel movements by one to two a week. The recommended daily fiber intake is 38 grams for men and 25 grams for women under the age of 50; and 30 grams for men and 21 grams for women over the age of 50. Bulk-containing laxatives should be taken with 8oz of water, and if you have esophageal narrowing, you should avoid taking bulk-containing laxatives.

In most patients the next step, if fiber is not effective, is to use a saline-like Milk of Magnesia or as an alternative with polyethylene glycol. Long-term use of Milk of Magnesia can create electrolyte imbalances. Polyethylene glycol should be avoided with patients with kidney problems.

The last step would be any stimulative laxatives such as Bisacodyl or Senna. Stimulative laxatives cause the body to increase gas and abdominal cramping. These medications should not be used longer than one week.

Speak with the pharmacist, they should be able to find the most appropriate product for you and your situation.

For more information:

Go to the Pharmacy and Medications health topic.